Jane Smith is a 27-year-old Caucasian woman. She presents to the physician’s office for follow-up after...

Jane Smith is a 27-year-old Caucasian woman. She presents to the physician’s office for follow-up after giving birth to her first child 6 weeks ago. The triage nurse notices that Mrs. Smith has a monotone speech pattern and a slowness to answer questions.

The physician diagnoses Mrs. Smith with depression and gives her a prescription for escitalopram (Lexapro) 10 mg every day. Prepare a teaching plan for educating Mrs. Smith about her medication?

Solutions

Expert Solution

Instruct the mother that it is used to treat depression and minor anxiety disorders.

The medication is started at a relatively lower dose and the dose is increased after one week. And it will take a month to get full benefit of the medication.

The major side effects of the medication include nausea, constipation, diarrhea, dry mouth, loss of appetite, insomnia drowsiness and weakness.

Reassure the mother that the child will not be affected in anyway if she breast feds the baby.

Educate the mother not take any alcoholic beverages as it may worsen the side effects.

Gradually taper the dose before discontinuation. Abrupt discontinuation can cause dysphoric mood.

The family should be educated to communicate any sudden behavioural changes apart from the presenting symptoms and the medication to be discontinued after medical advice.

It is a pregnancy category C drug and can cause major problems to a fetus. Adequate contraception to be used. Safe to use in third trimester.

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

Maria Lopez is a 24-year-old Hispanic woman. She presents to the physician’s office today seeking treatment...

Maria Lopez is a 24-year-old Hispanic woman. She presents to the physician’s office today seeking treatment for her acne. Her only medication is Ortho Tri-Cyclen Lo. The physician writes Ms. Lopez a prescription for doxycycline (Doryx) 150 mg once daily. What should the nurse tell Ms. Lopez about taking oral contraception with Doryx? What adverse reactions should the nurse discuss with Ms. Lopez? How should the nurse tell Ms. Lopez to take the Doryx?

C.J. is a 71-year-old woman who presents for follow-up. She complains of hard, dry stools over...

C.J. is a 71-year-old woman who presents for follow-up. She complains of hard, dry stools over the past week. She remembers reading an educational brochure she picked up in her pharmacy that suggested increasing her fiber and fluid intake, but this has not alleviated her problem. C.J.’s past medical conditions include hypertension and chronic renal insufficiency. She had a stroke 1 year ago with little or no residual. Her medications include verapamil SR 240 mg daily, lisinopril 10 mg orally...

C.J. is a 71-year-old woman who presents for follow-up. She complains of hard, dry stools over...

Rita Simms is a 28-year-old Caucasian woman. She is being discharged from the hospital today after...

Rita Simms is a 28-year-old Caucasian woman. She is being discharged from the hospital today after a recent deep venous thromboembolism. She is being discharged with a prescription for warfarin (Coumadin) 5 mg with directions to take one tablet daily at 5 p.m. The physician has asked the nurse to complete discharge counseling with Ms. Simms. How often will Ms. Simms need her prothrombin time and international normalized ratio tested? What are the signs of warfarin overdosage? What should Ms....

A 23-year-old woman presents to the OB-GYN office you work at. She was recently surprised to...

A 23-year-old woman presents to the OB-GYN office you work at. She was recently surprised to learn that she is pregnant. She estimates that she is about 8 weeks along. She tells you that she regularly drinks on the weekends with her friends. She asks you "Is that a problem? As long as I don't drink very much, I can still have a drink occasionally while I'm pregnant, right?" In your initial post answer the following questions: How would you...

P.P. is a 24-year-old man who presents to the physician’s office with pain in his right...

P.P. is a 24-year-old man who presents to the physician’s office with pain in his right ear. Subjective Data Patient states that he woke up in the middle of the night, with ear pain, 2 nights ago. He took ibuprofen, and he went back to sleep. Last night he woke up in pain, and he was really uncomfortable. He felt the physician should see him. Objective Data TM appears inflamed—it is red and may be bulging and immobile T =...

Ms. RJ is a 70 year old woman who present for a follow-up. She complains of...

Ms. RJ is a 70 year old woman who present for a follow-up. She complains of hard ,dry stools over the past weeks. She tried using fiber and increase her fluid intake with no positive results. Past medical history: hypertension, chronic renal deficiency. Had a stroke one year ago with little or no residual Medication used: Verapamil SR 240mg daily, lisinopril 10mg PO daily, Calcium carbonate1250mg P.O twice day, Aspirin325mg PO daily. She was diagnosed constipation What laxative do you...

Miranda, a 26 year old Caucasian woman, has come in for an evaluation. She reports a...

Miranda, a 26 year old Caucasian woman, has come in for an evaluation. She reports a history of sexual problems and is concerned about whether there is something physically wrong with her. She has been engaged for 2 years and has not yet had intercourse with her partner, but has noticed when they are physically close with one another, she doesn't "feel anything." Miranda reports that she rarely has sexual fantasies and generally does not feel a strong urge to...

A 34-year-old man presents to your office for follow up on lab results which were completed...

A 34-year-old man presents to your office for follow up on lab results which were completed to evaluate an elevated AST and ALT. He is sexually active and engages in sex with both men and women. He uses condoms inconsistently. He denies regular alcohol abuse but states he used to inject heroin. Currently, he reports some fatigue but says he feels well otherwise. His hepatitis serology results are as follows: HBsAg-positive, anti-HBs-negative, and anti- HBc-positive IgG, Anti-HDV and anti-HCV test...

A 52 year old Caucasian man presents to the dermatologist after his wife noticed a dark,...

A 52 year old Caucasian man presents to the dermatologist after his wife noticed a dark, bleeding lesion on his back. The patient was unaware of the lesion until his wife noticed it. Upon further questioning to the patient's wife, she reports first noticing the lesion a few months prior. The lesion has since changed shape, and she grew more concerned when she noticed the bleeding and increased size. The patient denies any history of atypical moles. He reports that...

Subjects